Insurance Follow Up Specialists
$41,600–$57,200 year
On-siteCosta Mesa, California, United States
Job Summary
Monitor and follow up on outstanding insurance claims to ensure timely and accurate reimbursement from carriers. Research and resolve claim denials, underpayments, and rejections by communicating directly with insurance companies and preparing corrected claims or appeals. Review aging reports to address unpaid claims, verify insurance eligibility, and maintain detailed records of all activities in the billing system. Collaborate with billing, coding, and front-office teams to address issues and prevent future denials while staying updated on payer policies and coding changes. Meet department productivity and quality standards through excellent communication with payers, patients, and internal staff.
Required Qualifications
- Minimum 1–2 years of experience in medical billing, insurance follow-up, or revenue cycle operations
- Strong understanding of insurance claims, EOBs, and payer reimbursement processes
- Excellent analytical, problem-solving, and organizational skills
- Ability to work independently and manage multiple tasks in a deadline-driven environment
- Strong communication skills (both verbal and written)
- Proficiency in Microsoft Office (Excel, Word, Outlook)
Desired Qualifications
- Experience with electronic health record (EHR) and billing systems (e.g., Epic, Athena, NextGen, or similar)
- Knowledge of CPT, ICD-10, and HCPCS coding
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